Clockwise Torque of Sliding Hip Screws: Is There a Right Side?

Abstract:

OBJECTIVES:This study evaluated whether patients with a left-sided femoral neck fracture (FNF) treated with a sliding hip screw (SHS) had a higher implant failure rate than patients treated for a right-sided FNF. This was performed to determine the clinical relevance of the clockwise rotational torque of the femoral neck lag screw in a SHS, in relation to the rotational stability of left and right-sided FNFs after fixation. METHODS:Data were derived from the FAITH trial and Dutch Hip Fracture Audit (DHFA). Patients with a FNF, aged ≥50, treated with a SHS, with at least 3-month follow-up data available, were included. Implant failure was analyzed in a multivariable logistic regression model adjusted for age, sex, fracture displacement, prefracture living setting and functional mobility, and American Society for Anesthesiologists Class. RESULTS:One thousand seven hundred fifty patients were included, of which 944 (53.9%) had a left-sided and 806 (46.1%) a right-sided FNF. Implant failure occurred in 60 cases (3.4%), of which 31 were left-sided and 29 right-sided. No association between fracture side and implant failure was found [odds ratio (OR) for left vs. right 0.89, 95% confidence interval (CI) 0.52-1.52]. Female sex (OR 3.02, CI: 1.62-6.10), using a mobility aid (OR 2.02, CI 1.01-3.96) and a displaced fracture (OR 2.51, CI: 1.44-4.42), were associated with implant failure. CONCLUSIONS:This study could not substantiate the hypothesis that the biomechanics of the clockwise screw rotation of the SHS contributes to an increased risk of implant failure in left-sided FNFs compared with right-sided fractures. LEVEL OF EVIDENCE:Therapeutic Level II.See Instructions for Authors for a complete description of levels of evidence.

journal_name

J Orthop Trauma

authors

Würdemann FS,Poolman RW,Krijnen P,Bzovsky S,Sprague S,Kaptein BL,Hegeman JH,Schemitsch EH,Bhandari M,Swiontkowski M,Schipper IB,Dutch Hip Fracture Audit Group and FAITH Investigators.

doi

10.1097/BOT.0000000000001934

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

S76-S80

eissn

0890-5339

issn

1531-2291

journal_volume

34 Suppl 3

pub_type

杂志文章
  • Predictors of Unplanned Reoperation After Operative Treatment of Pelvic Ring Injuries.

    abstract:OBJECTIVES:To evaluate the incidence of unplanned reoperations after pelvic ring injuries and to develop a risk prediction model. DESIGN:Retrospective review. SETTING:Level I Trauma Center. PATIENTS:The medical records of 913 patients (644 male and 269 female patients; mean age, 39 years; age range, 16-89 years) wit...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001170

    authors: Ochenjele G,Reid KR,Castillo RC,Schoonover CD,Montalvo RN,Manson TT,Sciadini MF,Nascone JW,Carlini AR,OʼToole RV

    更新日期:2018-07-01 00:00:00

  • Consortium of Orthopaedic Academic Traumatologists: A Model for Collaboration in Orthopaedic Surgery.

    abstract::In March 2016, North American academic leaders with an interest in and commitment to the field of global orthopaedics met in Orlando, Florida, to gauge each institution's clinical, research, and educational programs in developing countries, establish the main limitations to participating in global health efforts, and ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001288

    authors: Miclau T,MacKechnie MC,Shearer DW,COACT group.

    更新日期:2018-10-01 00:00:00

  • Fixation of periprosthetic femoral shaft fractures associated with cemented femoral stems: a biomechanical comparison of locked plating and conventional cable plates.

    abstract:UNLABELLED:To determine which of 2 techniques for the treatment of periprosthetic femoral shaft fractures is of greater stiffness. DESIGN:A laboratory study using 8 pairs of matched, embalmed femurs. METHODS:Femurs implanted with a cemented total hip prosthesis had a simulated periprosthetic femur fracture created di...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/01.bot.0000199119.38359.96

    authors: Fulkerson E,Koval K,Preston CF,Iesaka K,Kummer FJ,Egol KA

    更新日期:2006-02-01 00:00:00

  • Comparison of the 95-degree angled blade plate and the locking condylar plate for the treatment of distal femoral fractures.

    abstract:OBJECTIVES:In the distal femur, locked plating is efficacious when coronal fractures preclude the use of a conventional fixed-angle device. However, minimal comparative data exist for supracondylar fracture patterns, which could be treated with other devices. The purpose of this study was to compare the 95-degree angle...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318234d460

    authors: Vallier HA,Immler W

    更新日期:2012-06-01 00:00:00

  • Treatment of Periprosthetic Humerus Fractures With Open Reduction and Internal Fixation.

    abstract::Periprosthetic humerus fractures are relatively uncommon occurrence that can be difficult to manage nonoperatively. Locking plate technology has enhanced the surgical management of these fractures. However, adequate fixation around the stem remains of some concern. We describe an osteosynthesis technique using a locki...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000646

    authors: Kurowicki J,Momoh E,Levy JC

    更新日期:2016-11-01 00:00:00

  • Stabilization of displaced articular fragments in calcaneal fractures using bioabsorbable pin fixation: a technique guide.

    abstract::Successful operative intervention in displaced intra-articular calcaneal fractures depends in part on the maintenance of an anatomic reduction of the posterior facet. This guide describes our use of bioabsorbable implants to solve this problem. ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181ca38ce

    authors: Min W,Munro M,Sanders R

    更新日期:2010-12-01 00:00:00

  • Chronic fracture-separation of the radial head in a child.

    abstract::A rare case of a complete fracture-separation of the proximal radial epiphysis is described in a pediatric patient. A further complicating factor is the delay in diagnosis that may worsen prognosis. An emphasis on early detection by physical examination and imaging studies, as well as consideration of treatment option...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/00005131-199506000-00013

    authors: Rokito SE,Anticevic D,Strongwater AM,Lehman WB,Grant AD

    更新日期:1995-06-01 00:00:00

  • A method for detection of lateral malleolar malrotation using conventional fluoroscopy.

    abstract::Recent studies on ankle syndesmosis injuries have shown that a significant amount of rotational malediction of the distal fibula are missed and may lead to poor functional outcome. A new set of radiographic criteria were developed to help detect distal fibula internal and external rotation using conventional fluorosco...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31828f89a9

    authors: Marmor M,Kandemir U,Matityahu A,Jergesen H,McClellan T,Morshed S

    更新日期:2013-12-01 00:00:00

  • Orthopaedic injuries associated with fall from floor forty-seven.

    abstract::This case report provides background reviewing mortality rates associated with falls from height before detailing the clinical history of a patient who survived a fall from a height of 43 stories. A multidisciplinary team treated both orthopaedic and nonorthopaedic injuries with the ultimate goal of preserving potenti...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318193bc8d

    authors: Kepler CK,Nho SJ,Miller AN,Barie PS,Lyden JP

    更新日期:2009-02-01 00:00:00

  • Intramedullary interlocked tibia nailing: a new technique (preliminary report).

    abstract::This paper presents a modified surgical technique for interlocked intramedullary stabilization of tibia fractures. An external distractor is used to achieve an indirect fracture reduction on a fluoroscopy table. This method avoids the potential traction complications associated with conventional fracture tables. The f...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:

    authors: Rubinstein RA Jr,Green JM,Duwelius PJ

    更新日期:1992-01-01 00:00:00

  • Articulating external fixation to overcome nerve gaps in lower extremity trauma.

    abstract::This report describes the use of articulating external fixation in patients with lower extremity trauma with segmental nerve defects. Four patients who would otherwise require nerve grafting underwent application of an articulated external fixator, allowing optimal positioning for end-to-end, tension-free nerve repair...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200304000-00008

    authors: Ruch DS,Smith AM

    更新日期:2003-04-01 00:00:00

  • Fluoroscopic Views for a More Accurate Placement of Iliosacral Screws: An Experimental Study.

    abstract:OBJECTIVES:Misperception on the fluoroscopic image showing a well-placed iliosacral (IS) screw can occur, when the screw is in reality misplaced. The purpose of this study was to demonstrate and highlight examples of misperception and suggest alternative inlet and outlet views to confirm adequate IS screw placement. M...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000426

    authors: Kim JW,Quispe JC,Hao J,Herbert B,Hake M,Mauffrey C

    更新日期:2016-01-01 00:00:00

  • Healing patterns of transverse and oblique osteotomies in the canine tibia under external fixation.

    abstract::Healing patterns were compared between transverse and 60 degrees oblique osteotomies in canine tibiae stabilized under external fixation. Under similar in vitro testing conditions (osteotomy ends in contact), the axial stiffness of the oblique osteotomy under external fixation was 45% of the paired transverse osteotom...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199109000-00016

    authors: Aro HT,Wahner HT,Chao EY

    更新日期:1991-01-01 00:00:00

  • Multiple Procedures in the Initial Surgical Setting: When Do the Benefits Outweigh the Risks in Patients With Multiple System Trauma?

    abstract:OBJECTIVES:To compare single versus multiple procedures in the same surgical setting. We hypothesized that complication rates would not be different and length of stay would be shorter in patients undergoing multiple procedures. DESIGN:Prospective, cohort. SETTING:Level 1 trauma center. PATIENTS/PARTICIPANTS:A total...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000556

    authors: Childs BR,Nahm NJ,Moore TA,Vallier HA

    更新日期:2016-08-01 00:00:00

  • Avoiding rotational mismatch of locking distal tibia plates depends on proper plate position.

    abstract:OBJECTIVES:The purpose of this study was to evaluate the most appropriate positioning of anatomical locking plates on the distal tibia. METHODS:We positioned 4 types of locking plates (3 straight and 1 bayonet) at anterior, middle, and posterior positions on the medial malleolus on both lower limbs of 15 cadavers. We ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31827cd67d

    authors: Song HK,Noh JW,Lee JH,Yang KH

    更新日期:2013-07-01 00:00:00

  • The surgical treatment of isolated mason type 2 fractures of the radial head in adults: comparison between radial head resection and open reduction and internal fixation.

    abstract:OBJECTIVES:To compare the outcomes of two different surgical treatments for the management of isolated closed Mason Type 2 radial head fractures. DESIGN:Retrospective study. The Student t test and McPearson chi-square test were used to evaluate whether there was a significance difference between the groups. PATIENTS:...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318220a227

    authors: Zarattini G,Galli S,Marchese M,Mascio LD,Pazzaglia UE

    更新日期:2012-04-01 00:00:00

  • Induced Membrane Technique: Pearls and Pitfalls.

    abstract::The induced membrane technique for reconstruction of bone defects has proved its effectiveness and is now widely accepted. The 2 stages procedure, implying a cement spacer in the first stage and a huge bone graft in the second stage, responds to rigorous technical details involving each phase of the procedure. Prerequ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000000979

    authors: Masquelet AC

    更新日期:2017-10-01 00:00:00

  • Single provider reduction and splinting of displaced ankle fractures: a modification of Quigley's classic technique.

    abstract::Ankle fractures are commonly treated by orthopaedic surgeons and often require manipulative reduction. This can be painful for the patient and frequently uses 2 or more providers. Intra-articular injection of local anesthetic into the ankle joint precludes the need for conscious sedation (intravenous narcotics and ben...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000206

    authors: Alton TB,Harnden E,Hagen J,Firoozabadi R

    更新日期:2015-04-01 00:00:00

  • Common factors and outcome in late upper extremity amputations after military injury.

    abstract:OBJECTIVES:Much attention has been given to lower extremity amputations that occur more than 90 days after injury, but little focus has been given to analogous upper extremity amputations. The purpose of this study was to determine the reason(s) for desired amputation and the common complications after amputation for t...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3182a665f5

    authors: Krueger CA,Wenke JC,Cho MS,Hsu JR

    更新日期:2014-04-01 00:00:00

  • The two-step maneuver for closed reduction of inferior glenohumeral dislocation (luxatio erecta to anterior dislocation to reduction).

    abstract::The 2-step closed reduction maneuver was developed to aid in the rarely encountered inferior shoulder dislocation. The maneuver converts the humeral head from an inferior dislocation to an anterior dislocation and then reduces the humeral head into the glenoid. The operator places one hand on the shaft of the humerus ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200605000-00010

    authors: Nho SJ,Dodson CC,Bardzik KF,Brophy RH,Domb BG,MacGillivray JD

    更新日期:2006-05-01 00:00:00

  • Deep venous thrombosis complicating rupture of the medial head of the gastrocnemius muscle.

    abstract::Rupture of the medial head of the gastrocnemius muscle ("tennis leg") is an affliction generally associated with athletic activity. The diagnosis is made by careful history and physical examination. Although its findings are characteristic, previous reports have documented misdiagnosis of this lesion as thrombophlebit...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199406000-00016

    authors: Slawski DP

    更新日期:1994-01-01 00:00:00

  • A comparison between the effects of acetaminophen and celecoxib on bone fracture healing in rats.

    abstract:OBJECTIVES:This study compared the acute treatment effects of systemic analgesics with (celecoxib) and without anti-inflammatory activity (acetaminophen) on bone fracture healing. STUDY DESIGN:Longitudinal time study of fracture healing in rats. METHODS:Closed, mid diaphyseal femur fractures were produced in female S...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/01.bot.0000184144.98071.5d

    authors: Bergenstock M,Min W,Simon AM,Sabatino C,O'Connor JP

    更新日期:2005-11-01 00:00:00

  • A cost analysis of internal fixation versus nonoperative treatment in adult midshaft clavicle fractures using multiple randomized controlled trials.

    abstract:BACKGROUND:To determine whether the cost of nonoperative treatment, including those who require delayed operative treatment, is less than those receiving initial operative management. METHODS:We identified 4 recent randomized controlled trials comparing operative and nonoperative treatment of displaced midshaft clavic...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/BOT.0000000000000225

    authors: Walton B,Meijer K,Melancon K,Hartman M

    更新日期:2015-04-01 00:00:00

  • Regional anesthesia improves outcome after distal radius fracture fixation over general anesthesia.

    abstract:OBJECTIVE:To compare the efficacy of anesthetic type on clinical outcomes after operative treatment of distal radius fractures. DESIGN:Retrospective review of prospectively collected data. SETTING:Academic medical center. PATIENTS:One hundred eighty-seven patients with a distal radius fracture (OTA type 23) were ide...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318238becb

    authors: Egol KA,Soojian MG,Walsh M,Katz J,Rosenberg AD,Paksima N

    更新日期:2012-09-01 00:00:00

  • Indications and Clinical Results of Radial Head Replacement: Has Anything Changed?

    abstract::Radial head fractures are common injuries comprising 1/3 of the fractures about the elbow. As a secondary valgus stabilizer of the elbow, radial head fractures can compromise elbow stability leading to long-term pain, dysfunction, and degenerative change. Furthermore, radial head fractures can be accompanied by associ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000001641

    authors: Eyberg BA,McKee MD

    更新日期:2019-12-01 00:00:00

  • Outcomes Following the Urgent Surgical Management of Displaced Femoral Neck Stress Fractures.

    abstract:OBJECTIVES:To review the clinical course, complication rates, and mid-term functional outcomes associated with the treatment of displaced femoral neck stress fractures (FNSFs). DESIGN:Retrospective Case Series. SETTING:Military Tertiary Referral Center. PATIENTS:Twenty-one operatively treated displaced FNSFs between...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001810

    authors: Cochran GK,Staeheli GR,Deafenbaugh BK,Kuhn KM

    更新日期:2020-11-01 00:00:00

  • The anterior intra-pelvic (modified rives-stoppa) approach for fixation of acetabular fractures.

    abstract:OBJECTIVES:Report the technical aspects, radiographic results, and complications after minimum 1-year follow up of the anterior intra-pelvic (AIP or modified Rives-Stoppa) approach as an alternative to the ilioinguinal approach for the treatment of acetabular fractures. DESIGN:Retrospective review. SETTING:Level I tr...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181dd0b84

    authors: Sagi HC,Afsari A,Dziadosz D

    更新日期:2010-05-01 00:00:00

  • Does the Angle of the Nail Matter for Pertrochanteric Fracture Reduction? Matching Nail Angle and Native Neck-Shaft Angle.

    abstract:OBJECTIVES:To determine whether fixation of pertrochanteric hip fractures with cephalomedullary nails (CMNs) with a neck-shaft angle (NSA) less than the native NSA affects reduction and lag screw cutout. DESIGN:Retrospective comparative study. SETTING:Level I trauma center. PATIENTS/PARTICIPANTS:Patients treated wit...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001096

    authors: Parry JA,Barrett I,Schoch B,Yuan B,Cass J,Cross W

    更新日期:2018-04-01 00:00:00

  • A prospective, randomized study of intramedullary nails inserted with and without reaming for the treatment of open and closed fractures of the tibial shaft.

    abstract:OBJECTIVES:To determine if there are differences in healing, complications, or number of procedures required to obtain union among open and closed tibia fractures treated with intramedullary (IM) nails inserted with and without reaming. DESIGN:Prospective, surgeon-randomized comparative study. SETTING:Level One traum...

    journal_title:Journal of orthopaedic trauma

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005131-200003000-00007

    authors: Finkemeier CG,Schmidt AH,Kyle RF,Templeman DC,Varecka TF

    更新日期:2000-03-01 00:00:00

  • Ultrasound-Guided Nerve Blocks as Analgesia for Nonoperative Management of Distal Radius Fractures-Two Consecutive Randomized Controlled Trials.

    abstract:OBJECTIVES:To investigate whether a conventional fracture hematoma block (FHB) or an ultrasound-guided peripheral nerve block has more superior analgesic effect during nonoperative management of distal radius fractures in an emergency department setting. Two peripheral nerve block types were investigated, one at the le...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BOT.0000000000001388

    authors: Siebelt M,Hartholt KA,van Winden DFM,Boot F,Papathanasiou D,Verdouw BC,de Vries MR,Mathijssen NM,Kraan GA

    更新日期:2019-04-01 00:00:00